| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,164.60 | $1,164.60 | $1,164.60 | |
Medica
| Facility | $1,428.54 | $1,968.19 | $3,229.32 | |
Midlands
| Facility | $1,818.51 | $3,003.38 | $3,946.09 | |
Sanford Health Plan
| Professional | $1,597.54 | $2,162.41 | $2,529.38 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |